Pregnancy is a joyful and solemn event in the life of every woman. Therefore, throughout its entire length, the expectant mother must monitor her condition and well-being. The woman's body is designed in such a way that it can give signals in advance related to fetal pathologies. You need to understand such signals and take timely measures to eliminate them.

Particular attention should be paid to the initial trimester of pregnancy. It lasts first 12 weeks... There is no woman who could boast that during her pregnancy, she would not experience unpleasant and uncomfortable sensations.

During the growth of the fetus, significant changes occur in the woman's body and pain in the back and lower back is the first sign of this. The displacement of the pelvic organs and the stretching of the muscle ligaments cause pulling pain in the lower back.

Low back pain during pregnancy

Pain in the back and lower back is common. This is due to the fact that during the development of the fetus, the weight of the expectant mother increases and the main load falls entirely on the spinal muscles. Only in isolated cases, back pain can speak of threats of miscarriage or childbirth, ahead of schedule. If ? - read the answer to the question here.

There are quite a few reasons for the discomfort:

• Fatigue of the muscles of the body region in the lumbar region;
• Exacerbation of osteochondrosis;
• Kidney disease;
• Excess weight, giving a load to the lower back;
• Hypothermia;
• Inflammation of the muscles;
• Risk of miscarriage;
• Premature birth;
• The onset of timely labor.

Pain as a sign of pregnancy

In addition to the first and all familiar signs of pregnancy, such as nausea or increased appetite, drowsiness, pain in the lower back is added to them.

Expressed in aching and pulling sensations, which arise from the fact that the woman's uterus quickly stretches, increases in size so that the developing fetus is comfortable and cozy. In this regard, stretching and changes in the uterine ligaments are observed, which cause various pains, covering not only the lumbar region, but also the abdomen.

According to observations, this kind of pain is mainly experienced by women giving birth for the first time. For those not having the first birth, the uterus is already stretched, ready to perform subsequent labor processes and the area of ​​the lumbar spine is already prepared and suffers much less.

Low back pain in early pregnancy

Lumbar pain in the early stages of pregnancy will be observed throughout the entire first trimester, giving the expectant mother additional discomfort.

Feelings of back pain are experienced by more than half of pregnant women and differ in intensity to varying degrees. After childbirth, a large number of women experience and already have pain symptoms.

Causes of back pain:

• Malfunctions in the spinal apparatus begin to progress(osteochondrosis, curvature of the spine, weakened development of the pelvic muscles);
• The production of the "pregnant" hormone - progesterone increases leading to softening of discs and supporting ligaments;
• At the very beginning of pregnancy, the immune system decreases., due to the fact that initially, the body perceives the fetus as a foreign organism that has penetrated inside. Therefore, diseases of the bladder and kidneys become the root cause of back pain;
• Presence of urolithiasis: while there is a sharp and sharp pain when urinating;
• Often expectant mothers have pyelonephritis "pregnant", with an exacerbation of which the body temperature rises, edema occurs, the color of urine changes, as a result of which the tests give poor results.

Causes of back pain during pregnancy

There are many reasons for back and lower back pain:

1. During pregnancy, the female body transfers the maximum amount of nutrients to the fetus, including calcium. In the expectant mother, a lack of this element develops, in varying degrees, diseases of the spinal apparatus, which are expressed by severe pain.
2. The body's production of relaxin helps to soften bone and cartilage tissue, as a result, the joints diverge, while increasing the mobility of the pelvis.
3. Renal colic can also be one of the causes of pain. Kidney stones cause painful sensations during urination, causing severe pain. When a stone comes out, the ureter can be injured, which will further affect the further condition of the woman.
4. Pyelonephritis can provoke low back pain. Signs of the disease can be increased body temperature, swelling in the lower back, pain, high blood pressure.
5. Previous diseases of the spine can give complications during the period of bearing a child. Radiculitis, intervertebral hernia, scoliosis will cause increased stress on the spine and provoke pain.
6. The abdominal muscles are stretched, providing an area for growth. Therefore, an additional load is placed on the back muscles, expressed in maintaining balance.
7. A shift in the center of gravity of the body leads to a change in posture and when walking, the spine is very tense.
8. Prolonged standing on your feet increases the load on the spine. In this case, pain is a defensive reaction that forces the body to change its position.

In addition to the above reasons, the following are also observed:

• Walking in high heels;
• Wearing uncomfortable shoes;
• Inconvenient and sedentary work;
• Weakening of the back muscles associated with increased stress.

What should be done in case of painful sensations in the first place?

In order for back pain to make itself felt as little as possible, it is necessary to exclude provoking factors that cause discomfort:

• Wear comfortable and not tight shoes;
• Eating foods high in calcium(these include dairy products, from sour cream to cheese);
• Don't try to lift weights. If you already need to do this, then you should first sit down, but tilting the body forward is not recommended;
• Getting out of bed should also be correct: turn on your side, lower your feet to the floor and only after that, stand up. This will eliminate the stress on the back muscles;
• For the seat, choose only chairs with a back. One should not descend "in a big way" even on upholstered furniture;
• Wear a prenatal brace for support.

If, with all the measures taken, the pain continues, then you should visit a gynecologist and undergo the necessary examination, having passed the tests. The causes of pain can be various diseases and it is desirable to identify them at the very beginning of pregnancy.

You can do uncomplicated physical exercises to strengthen the muscles of the back, but only when there is no pain. Swimming or aerobics are very helpful.

In order for the pregnancy to proceed as calmly as possible, you need to carefully monitor your health and try to exclude some points:

• Do not wear high-heeled shoes. This will provoke rapid fatigue and increase back pain;
• You do not need to spend the entire pregnancy lying down, you should take as many walks on foot in the fresh air as possible;
• Do not lean forward to exclude the occurrence of lumbar pain;
• Do not stay in one position for a long time sitting or standing, you need to change it periodically;
• Do not lie or sleep on your back. This will lead to increased pain;
• The most important thing is not to get nervous., this will affect the condition of the baby after his birth.

What kind of back pain can be in the first 12 weeks?

The most important period of pregnancy is the first trimester. It differs in the transience of the change of events associated with the development of the fetus. It is necessary to know that physiological processes in the body can cause pulling and aching pains in the lower back and abdomen.

• At 1-2 weeks there is a strengthening of the fertilized egg to the lining of the uterine cavity. This process is characterized by slight pain in the lower abdomen;
• By 3 - 4 weeks the formation of the chorion occurs, the tissue from which the placenta will arise. This is characterized by the introduction of villi into the walls of the uterus with the formation of vessels, from which the blood system of the unborn baby will be formed. The process is accompanied by pain in the lower abdomen and lower back;
• 5 - 6 weeks biological protection of the fetus occurs, associated with an increase in blood flow to the uterus. The congestion of the vessels of the small pelvis is accompanied by pulling pains in the lower abdomen;
• From 7 to 8 weeks the hormone relaxin acts on the connective part of the joints and promotes their relaxation. This is another cause of pain syndromes;
• 9-10 weeks muscle fibers of the uterus are actively growing. There is a thickening of the cardinal and sacro-uterine ligaments, they become very dense, the load on the ligamentous uterine apparatus increases. This is accompanied by pain in the tailbone;
• 11 - 12 weeks the end of the first trimester of pregnancy occurs. By this time, the organ systems of the fetus are fully formed. During this period, spontaneous contraction of the uterus is possible, which can also lead to the above-described pain;
• During pregnancy, there is an increased load on the kidneys., which already work in enhanced mode. An increase in the volume of circulating blood increases minute blood flow in the kidneys and the pelvic system expands. All changes lead to back and lower back pain.

Treating low back pain in early pregnancy

Traditional treatments

According to statistics, more than half of pregnant women suffer from constant pain in the lumbar region.

If preventive methods have not brought the desired result, it is necessary to start direct treatment. It should take place under the obligatory supervision of the attending physician.

The use of drugs for any purpose can cause irreparable damage to the health of not only the mother, but also the unborn baby.

To reduce pain, you can start some exercises, it is better to start with minimal loads:

• It is worth doing physiotherapy exercises(it includes yoga classes for pregnant women, various types of physical activity);
• Swimming is possible after consultation with a supervising obstetrician. Water has a relaxing effect on muscles and relieves pain;
• You can make light self-massage on problem areas with your fingertips;
• Apply a warm bath or shower if pain intensifies;
• In the second and third semester, wear a bandage that supports the abdomen. When sleeping, put a pregnancy pillow under your belly;
• During pregnancy, the contrast between the body's resistance and the waste of energy is important., therefore, rest should be given special attention. Adequate sleep should be a constant companion of expectant mothers.

As for taking medications, they should be taken under the strict supervision of a physician, especially if it is associated with kidney disease.

Unconventional treatments

• Gruel from grated horseradish or radish helps a lot... In order to avoid a strong burning sensation, it is recommended to add a little sour cream to the mixture;
• A decoction of chamomile, thyme and St. John's wort helps a lot. Relieves pain, it is even recommended to do compresses with wraps at night;
• Mix 50 grams of mustard with warm water until the consistency of sour cream is obtained... Apply the mixture to the sore spot for no more than 5 minutes, in order to avoid severe burning;
• Pour the leaves of burdock with boiling water and put on the lower back;
• Squeeze the garlic with lemon, soak a napkin with juice and apply to the sore spot... Carry out the procedures regularly;
• The sour dough compress is effective. You need to wrap the lower back with a layer of fabric, put the dough on top. Apply a compress before bedtime;
• Rubbing the sore spot with honey very well helps... Blood circulation and muscle tone returns to normal.

The methods of alternative medicine have been tested by our ancestors and bring quick relief from the pain that has arisen. However, when using them, one must not forget that they can cause allergic reactions.

Strengthening the spine during pregnancy

Strengthening the muscles of the spine during pregnancy is primarily promoted by frequent walking... It tones the muscles of the legs, buttocks and back, eliminates the manifestation of varicose veins and the development of hemorrhoids.

In addition, you can do:

• If you feel normal, in the winter season, skiing is recommended(it is recommended to wear a prenatal bandage).
• Swimming. It has a very good effect on the health of the mother and her baby. The muscles of the back are strengthened, blood circulation is improved, and the load is removed from the joints.
• Yoga. An excellent option for stressing the body during pregnancy. Classes will be useful for both mom and baby, because when performing it, great attention is paid to breathing and relaxation of all muscles. During the classroom, the child will receive many times more oxygen, and the mother will prepare for the upcoming birth.
• Gymnastics. Specially designed exercises are aimed at strengthening the muscles that take part in labor (pelvis and abdominals).

When should you sound the alarm? When can you not worry?

If pain occurs mainly on one side, then this may indicate kidney disease... There is swelling and painful sensations during urination. In this case, you should immediately consult a doctor, because this threatens renal failure.

There are times when pain speaks of signs of a threatened miscarriage. In this case, you need to be very careful: if your stomach aches badly and even a small bleeding occurs, you need to urgently visit a doctor or call an ambulance for hospitalization.

Primarily pain in the back and spine is considered normal during pregnancy... In any case, when a woman becomes pregnant, she needs to visit a gynecologist and register with him as early as possible.

Observation by a specialist and the implementation of all his recommendations will help to get away from many problems that may arise during the period of expectation of the child.

Surely every woman who has been pregnant at least once has experienced back pain, especially in the last stages of pregnancy. In general, bearing a child is a very complex process: the body and all organs of a woman are rebuilt and bear a double load. The digestive, circulatory, respiratory and excretory systems - all of them must now work not only for the woman, but also for her child. This also affected the musculoskeletal functions of the spine.

Thus, back pain during pregnancy is not extraordinary, but quite natural. Let's figure out why this happens and what to do if it hurts badly, and you can't buy traditional pain relievers for a pregnant woman.

Causes of back pain during pregnancy

In the body of a pregnant woman, from the very first days, changes begin to take place, which in one way or another prepare her for the future of a joyful event. During pregnancy, throughout its entire period, nature continuously introduces which corrections, especially those related to hormones:

• Thus, the produced hormone relaxin relaxes the ligaments of the sacral and even coccygeal joints. This provides them with the mobility they need during childbirth.

• But the stability of the sacral region decreases, and the woman has to strain the muscles of her back and abdomen to compensate.

• During pregnancy, a woman's estrogen is reduced for almost the entire period, and progesterone is increased - this provides optimal conditions for bearing. The inverse ratio (lowered progesterone and high estrogen) can cause uterine bleeding and miscarriage)

• Before childbirth, progesterone levels drop sharply and estrogen rises.

The elasticity and tone of the uterus, as well as its ability to contract, depends on estrogen. Thanks to progesterone, the formation of the placenta and the growth of the uterus are ensured throughout the entire period of pregnancy. Every week, a woman is gaining new pounds, her belly is rounded and more and more protruding forward. Starting from about the 14th week, such signs are guessed from the outside, and it is already difficult to hide the pregnancy. The gait and posture of the expectant mother also changes: if you noticed, they all walk with their heads held high and their shoulders turned back. Such a gait is popularly called "proud". In fact, despite the fact that every woman internally and instinctively, as laid down by nature, is proud of her position, the reason for such a posture is very prosaic: the center of gravity of the pregnant woman shifts forward, the angle of inclination of the pelvis increases, which increases the lumbar lordosis keep balance, the spine in the thoracic region moves back along with the shoulders and head
Of course, walking in this position all the time is not easy - the back inevitably begins to hurt, especially in the thoracic and lumbar regions. Thus, the main causes of back pain during pregnancy are physiological and are directly related to the position itself, that is, they are characteristic of any woman during pregnancy. it:

• Changes in the natural curves of the spine and displacement of its center of gravity

• Increase the elasticity of the ligaments and the mobility of the joints of the sacral region

• Decrease in the amount of estrogen - the main hormone that is involved in building normal bone structure

Lack of estrogen causes bone fragility and leads to osteoporosis. Therefore, important advice that I want to give to future mothers is:

• The first thing to do during pregnancy is to ensure a normal daily calcium intake, preferably with vitamin D as one of the most important in the body.

• Also, along the way, you must definitely take folic acid, which is very important for the development of the fetus.

• Lack of folate can cause your baby to have a congenital spinal hernia

Exercise during pregnancy

During pregnancy, you must also do daily exercises for expectant mothers. Do not be afraid that it could negatively affect your baby or you:

• Your active activities will only benefit your baby, as they will improve his blood circulation, nutrition and even mood.

• For your back, gymnastics will be beneficial, since it will allow you to relieve spasm from the muscles, thanks to which your back hurts, and also to strengthen the muscular-connected system.

Additional causes of pain during pregnancy There are also individual causes of pain for each woman:

• Presence of dystrophic degenerative processes in the spine even before pregnancy

• Uncomfortable shoes, such as too high heels

• Other diseases or pathologies

• The uterus is in good shape

• Prolapse of the uterus<

Lumbosacral hernia

If a woman has a lumbosacral hernia, then she needs to double control over her disease, especially in the second half of pregnancy:

• Be sure to visit an orthopedist

• Do stretching exercises

• Wear a supportive corset

Corsets are also recommended for all women with back pain starting at 34 weeks of gestation.

Difficulties of recent months

The last two months before the birth of a baby are difficult for a woman:

The weight of the fetus is already quite decent, and it puts more and more pressure on her spine. Back pain can become radicular and radiate to the leg, especially when walking

• The uterus begins to descend and press on other organs of the pelvis, which causes the woman to develop symptoms of cystitis

• The load on the kidneys in the third trimester also increases due to the increased volume of fluid circulating through the blood-purifying system and an increase in fetal waste products.

This can lead to pyelonephritis or even symptoms of kidney failure if a woman already had kidney problems before pregnancy Kidney problems can be an additional source of back pain in a pregnant woman

Increased tone of the uterus

A common problem during pregnancy is the increased tone of the uterus. In general, this phenomenon is dangerous in the early stages with the threat of miscarriage. In the future, this does not represent any danger for a woman, except for unpleasant sensations. For what reasons is there an increased tone of the uterus? Both simple and scientifically based:

• Your baby just kicked you lightly, checking: they did not fall asleep, did not forget about him, ready for his quick birth

• Stress and bad mood tones not only the "fibers of the soul", but also the uterus

Therefore, during pregnancy, you should always try to stay calm and be in a good mood, especially since it is so important for the healthy nervous system of the unborn child.

• The tension of the muscles of the back and abdomen is transmitted to the muscles of the uterus

• In the later stages, false contractions occur (Braxton Hicks syndrome)

Thus, a "dress rehearsal" of future childbirth is carried out.

What medicines to use for back pain during pregnancy

Pregnant women often face the following problem: they, the poor, cannot use many medicines. So, we all know non-steroidal anti-inflammatory drugs, we take for back pain, they are unacceptable for a pregnant woman. Why? Because they have a lot of contraindications that are dangerous for ordinary people, and even more so in position.

What if a woman got sick during pregnancy or the back pain is unbearable?

• For treatment, you can use decoctions of herbs, bee products

• Medicines no-shpa - antispasmodic, which can be used in position

• You can use homeopathic medicines, which are also absolutely harmless.

The drug Nux Vomica (nux v-mica)

The drug Nux Vomica (nux v-mica) is used:

• With severe back pain, exacerbations of osteochondrosis and hernia, injuries

• Neuralgic problems

• For bowel disorders such as constipation

• Sepia preparation:

• For backholes

• For back pain that worsens when bending over

• With dull aching pains in the back and between the shoulder blades

• During depression and emotional depression

If you do everything right and follow these simple recommendations, pregnancy is carried out easily, and the child will be born healthy and cheerful.

Back pain during pregnancy video

During the period of carrying a child, a woman may experience discomfort and pain in the back, both in the early and late stages of pregnancy. This is due to the fact that the female body begins to rebuild due to the development of the fetus.

First of all, this affects the state of the immune system, after which the center of gravity begins to shift and changes in the level of hormones in the blood. All of these indicators are directly related to back pain during pregnancy. The increased load affects the musculoskeletal system of the pregnant woman, in particular, the spine. In such conditions, the weakest points in the body can appear. As a rule, this is the lumbar region and the lower abdomen.

Causes

The gestation period affects the hip joint and spine. After the long-awaited moment, certain hormones are released that affect the tone of muscle tissue. Because of this phenomenon, the hip-sacral joints begin to relax and prepare for the upcoming birth. As a result, the balance is disturbed and the woman has to adjust to the protrusion of the abdomen.

To understand exactly why your back hurts in the early stages and what to do to get rid of unpleasant sensations, you need to know the main reasons for their appearance. The main reasons include the following factors:

• The presence of diseases of the musculoskeletal system. A girl may suffer from chronic diseases of the spine before the onset of the gestation period, therefore, in the future, pathologies can cause severe back pain during pregnancy.
• Degenerative diseases of bone tissue. The most common disease is osteochondrosis, which is characterized by damage to the intervertebral discs in various parts of the spine. The gradual destruction of cartilage tissue causes severe back pain in pregnant women.
• Rachiocampsis. The vertebral column can bend to the right or left, forward or backward, which is why several types of pathology are distinguished. In most cases, the disease occurs during adolescence. A slight bend forms on the side or back, causing back pain in early pregnancy. If it is not treated, then in the future, a malfunction of the internal organs or disability may occur.
• Long stay in an uncomfortable position. This phenomenon occurs during sleep, when an uncomfortable sleeping position is adopted or the mattress is not suitable for normal sleep. To avoid such situations, it is necessary to select the correct bedding at the orthopedic store.
• Weak muscles in the lumbar region. It is this muscle group that is responsible for turning, bending forward and backward. Therefore, with underdeveloped muscles, sensations of heaviness and discomfort can often occur.

In the first trimester, the body is most vulnerable due to structural and hormonal changes, against the background of fetal development. Pain can also occur after pregnancy. This is due to the transferred childbirth, which strongly affects the muscles and joints of the hip bone and spine.

Proper sleeping positions and orthopedic bedding can significantly reduce unpleasant symptoms.

What diseases can cause back pain

In addition to the main causes of discomfort, several diseases are distinguished, in connection with which a woman may experience unpleasant and painful sensations.

Pancreatitis

Before fertilization, a girl may have problems with the pancreas, which are exacerbated during the period of gestation. Inflammation of the pancreas is extremely rare, but it can be the very factor that causes severe discomfort. If a pregnant woman leads an incorrect lifestyle and often abuses alcohol, fatty and heavy food, then all this affects the work of this gland.

The pathology can also be affected by genetic predisposition and depressive conditions. Uncontrolled stress affects the entire gastrointestinal tract, so pancreatitis is often accompanied by flatulence and high acidity.

Pyelonephritis

Inflammation of the kidneys, the main symptoms of which are aching pains on the left or right in the lower back. With the movement of the stone in the ureter, a woman may feel nagging severe pains in the lower back that cannot be overcome. The duration of pain can last for a long time, so it is recommended to immediately consult a doctor. In addition to pain, there is clouding of urine and soreness during urination.

Also, in some cases, urine may be excreted along with blood impurities. In this case, the girl has an increase in body temperature.

The risk of pyelonephritis while carrying a child increases, and the treatment of this disease is carried out with the help of antibacterial agents that negatively affect the body of the woman and the fetus

Pain in late pregnancy

The painful sensations become especially strong during pregnancy in the third semester. Almost every pregnant woman experiences discomfort and pressure. This can be caused by a lot of pressure on the spine and weakening of the abdominal muscles. Severe pains may descend to the feet. In this case, the girl will feel discomfort while walking, uncomfortable positioning or long standing on her feet.

Due to significant muscle relaxation, pain can occur in the hip joint and sacrococcygeal region. To remove unpleasant symptoms and relieve pain, the expectant mother needs to adhere to a special diet that will be rich in dairy and sour milk products, meat and fish products, beans, soybeans and herbs.

Such food is dominated by useful trace elements, in particular, calcium, which is necessary for the normal development of the fetus and the maintenance of the mother's musculoskeletal system. If it is not possible to maintain a proper diet, in which calcium predominates, then doctors recommend special medicines. The composition of such drugs does not harm the pregnant woman, but actively replenishes the calcium deficiency in the body.

These drugs include:

• Calcium gluconate. The simplest remedy that belongs to monopreparations. The composition includes only calcium, so the bioavailability of the agent is much lower than that of modern calcium preparations.
• Calcemin. The composition of this product includes several types of calcium, vitamin D 3, zinc, copper and other trace elements. Vitamin D3 helps the body absorb calcium and improves bone quality. Copper is involved in the synthesis of collagen, which the woman's body needs.
• Calcium D 3 Nycomed. The preparation contains calcium and cholecalciferol (vitamin D 3), which regulate phosphorus-calcium metabolism, mineralize bones and participate in the transmission of nerve impulses. All this has a beneficial effect on the mother's body and the fetus.

Together with taking medications, you need to limit physical activity and lifting weights so as not to cause more serious complications. It is also necessary to avoid sharp bends and movements that can provoke muscle stretching. In a later period, a woman needs to remember that if her back hurts during pregnancy, then it is best to consult a doctor and not decide on her own methods of treatment, as this can harm the health of the baby.

Calcium-D3 Nycomed is available in several forms, which are prescribed for various indications. For pregnant girls, the daily intake of the drug is 1500 mg of calcium and 600 IU of vitamin D3

Treatment

When the doctor accurately determines the diagnosis, then the question of the treatment of pathology will become. For any indication, exercise and pain relievers are the first choice. Depending on the diagnosis, the specialist selects an individual course of therapeutic procedures.

For herniated discs and other neurological diseases, these can be gymnastic procedures that slowly stretch the back muscles and make them more elastic. During physical exercise, tissue oxygenation improves, which normalizes metabolism. All procedures must be performed under the guidance of a medical professional so as not to harm the body even more.

Orthopedic products help reduce stress on legs, feet, and other parts of the body. For pregnant women, instep supports and soft bandages are ideal. Special insoles help distribute the load evenly to reduce severe pain. And corsets and bandages support the belly of the expectant mother to reduce the strain on the back.

Drug therapy is the use of calcium preparations and pain relievers: tablets, capsules or ointments. Before taking medications, you should consult your doctor, as most medications are contraindicated in pregnant women. Among the acceptable pain-relieving ointments, the following remedies are used to eliminate pain and inflammation:

• Traumeel;
• Fastum gel;
• Diclofenac;
• ointment Dr. Mom.

The use of these ointments is possible only after a doctor's prescription.

Traumeel ointment has an anti-inflammatory, analgesic and reparative effect due to the incoming plant and mineral components

Which doctors to contact

If your back hurts badly during pregnancy in the second trimester and at a later date, then it is best to contact a highly qualified specialist. This can be an obstetrician-gynecologist, vertebrologist, neurologist or gastroenterologist, depending on the cause of the symptom. A gastroenterologist specializes in the treatment of diseases of the digestive system. Therefore, in case of pathology with the pancreas, a woman first of all needs to contact this specialist.

The doctor will prescribe an ultrasound examination, blood and urine tests. The treatment will be carried out under the constant supervision of the attending physician so that there are no further complications. To ensure the normal functioning of the organs, a special diet and the use of drugs are prescribed. In case of inflammation and dysfunction of the genitourinary system, a woman needs to contact an obstetrician-gynecologist or an ordinary gynecologist, who will determine why her back hurts during pregnancy and how it is connected with the genitals.

To determine the diagnosis, a specialist will prescribe an ultrasound scan (ultrasound) and general urine and blood tests. After that, the doctor selects antibacterial drugs based on the patient's data. A vertebrologist and neurologist study degenerative pathologies of the spine and neurological diseases such as sciatica and herniated discs. To accurately identify the location of the inflammatory process, the doctor prescribes an MRI (magnetic resonance imaging).

In the case of neurological diseases, treatment involves adherence to bed rest and soft corsets that support the abdomen

Prophylaxis

Back pain during pregnancy is preventable. It is enough to pay attention to the woman's health. For this it is recommended:

• Choose orthopedic shoes with a slight incline so as not to feel heavy when walking.
• Wear soft corsets or bandages. This will help strengthen your back muscles and maintain a familiar center of gravity. It will be easier for the woman to turn and bend over.
• Do not make sudden movements and bends, during which you can stretch your back muscles.
• While sitting, do not keep the body straight, but lean on the back of the chair. This will help reduce the strain on your back muscles.
• Choose an orthopedic mattress and a comfortable position in which the woman will sleep comfortably.
• Eat foods rich in calcium and other trace elements.

Foods that are high in calcium prevent the onset of inflammatory and degenerative diseases of the spine.

When the lower back hurts during late pregnancy, it almost always causes anxiety in the expectant mother. Young mothers are sometimes even too excessively suspicious, and this can be understood, because we are talking about the life of their desired baby. But you need to learn to distinguish threatening pain from those that should arise for physiological reasons. This will reduce anxiety, which will improve your mood and restore calmness.

There are no women known to science who, during pregnancy, would not complain of lower back pain. This is a normal physiological process: the load on the spine of the expectant mother is growing. The body is rebuilding, mobilizing all its reserves so that a woman can bear and safely, independently give birth to a baby. Indeed, in fact, a woman's body was not created for beauty and admiration, but for bearing and feeding future offspring.

Low back pain can be natural, but it can also be a wake-up call. Therefore, in our material we will analyze in more detail when you need to stay calm, and when to immediately contact your obstetrician-gynecologist.

Experts say that most often lower back pain occurs in the fifth or seventh month of pregnancy. There is no reason to be afraid of this. In the second trimester, the baby is developing rapidly and is actively gaining weight. His physiology is not concerned with the problems of his mother's lower back. Whereas the expectant mother instinctively throws her head back and lifts her stomach forward to hold her stomach and keep the ability to move. But her spine is indifferent to the needs of pregnancy. The center of gravity changes, a strong load is added and the spine is forced to give signals about this. This is how low back pain appears in late pregnancy.

If, before pregnancy, a woman already had problems with the musculoskeletal system, then the situation will become more complicated several times. For the normal development of the musculoskeletal system, a certain level of calcium is required. But the difficulty is that there are very few people who have normal calcium. Someone eats incorrectly, someone leads an inappropriate lifestyle, and still others do not absorb calcium for certain reasons. And in pregnant women, especially in the late early and late stages, this indicator is critical. This is one of the main “building materials” and if the baby lacks it, he will pull it out of his mother.

Expectant mothers complain of lower back pain and do not even suspect how serious the calcium level in the body can be. In common parlance, this pubic articulation is called "pubis", considering it motionless. However, it may well change and acquire mobility.
In late pregnancy, when the baby begins to actively take all the calcium he needs for himself, the mother's body and her skeletal system are at risk.

A hormone such as relaxin is produced. If there is little calcium in the body, the hormone will literally "pull" it out of the mother's bones. For this reason, bones soften, and pain in the lower back and bones appears. It is the appearance of pain that can be the only sign that the body is experiencing a crisis with the level of calcium. Quite quickly, the spine itself loses calcium, the joints suffer and the chain goes further.

When the mother gives birth, the pain and discomfort may disappear, especially if she undergoes rehabilitation therapy. But the spine is extremely vindictive and without the necessary treatment, the problem will turn into serious difficulties with the musculoskeletal system.

But for a note to the expectant mother: the pubic articulation should become a little more mobile and this is the norm. This was conceived by nature to facilitate the movement of the baby along the birth canal. Signs should alert:

• the appearance of constant pain in the pubic area;
• when pressed, pain gives it only in the pubis, but also in the sacrum with the lower back;
• the inability to even raise your legs while lying down;
• pain when getting out of bed, up stairs;
• constant pain in the lower back, radiating to the leg and buttock.
• changes in gait. The gait becomes a duck.

Pain can speak of various pathologies and be a reaction to changes in the body. Attention must be paid and shown to the leading gynecologist if late pain radiates not only to the lower back, but also to the sacrum. Additionally, such pains may be accompanied by cuts or soreness in the lower abdomen. Pain from the lower back to the groin is a dangerous sign, it may be a signal that preterm labor begins.

You need to visit your doctor and check the uterine tone. With such threats, drugs are usually prescribed to calm the activity of the uterus and reduce its contractile ability. It is also important to identify the factor that could trigger her hyperactivity. In these cases, you cannot delay, otherwise the life of both may be under serious threat. This is true for periods from 30 to 36 weeks.

At a later date, when such pain has appeared, you should not worry. The uterus is preparing for the birth of the baby according to the "schedule". The future baby itself sank low and presses with its necrotic head on the nerve endings located in the pelvis. The more the pressure rises, the more pain the mother has. It is impossible to reduce pain in the usual way; this requires some anesthesia if labor is delayed or there is a threat of complications. The pain is severe, cramping, the lower back and the entire pelvis hurt. But she immediately passes, as soon as the baby sees the light. Sometimes after that, mothers hardly notice the secondary pain from contractions when leaving the birthplace.

Additional reasons

Lower back pain can be triggered not only by the spine itself, but also by dysfunction of internal organs. Most often, nephritis and various inflammations of the urinary system give soreness in the lower back of a shingles nature. If the mother had violations in the work of the kidneys before pregnancy, there will definitely be an exacerbation in the position. Sometimes pregnancy can cause the development of the disease, even if there has not been much progress before.

Any infection, which in normal times the immune system could destroy itself, can become a provocateur for diseases of the genitourinary system. Such "native" women cystitis, is able to develop along the ascending line and cause lower back pain in the later period. Such an infection cannot be ignored by the expectant mother.

Some gynecological diseases are also capable of developing due to such a powerful provocateur as a baby. It so happens that a cyst appears before pregnancy, but it is "cold", does not develop, and therefore the woman does not even know about it. But with the onset of pregnancy, the cyst will begin to grow and quickly, receiving nutrition from the fetus and its active hormonal background. Accordingly, pain from a heating cyst will appear by a later date. This threatens to rupture not only the cyst itself, it is also a threat to the baby.

About a quarter of women have lower back pain during pregnancy. This nuisance is associated with many provoking factors, ranging from weight gain to the presence of chronic diseases. Such a pain syndrome should be treated with the help of a specialist, and drug therapy involves the use of combined agents with a minimum number of side effects.

Causes of pain syndrome

An impressive proportion of all women have lower back pain during pregnancy, which is associated with a high load on the spinal column and weakened abdominal muscles caused by excessive stretching. Most often, a similar pain syndrome is observed in the late trimesters, and disappears only some time after childbirth. Discomfort usually occurs during physical exertion and stressful situations such as severe hypothermia.

Unpleasant sensations are localized in the lumbar region, however, pain can also be given to the leg, provoking difficulty in walking. Low back pain during pregnancy caused by exposure to relaxin (a natural hormone) can temporarily reduce joint mobility, but is not a serious risk.

Spasmodic, pronounced pain, which is accompanied by impaired coordination and a number of other unpleasant symptoms, is a much more serious threat. Such a signal may be a harbinger of internal bleeding, requiring immediate treatment in a hospital setting.

Important! Low back pain during pregnancy can be triggered by a displaced center of gravity, when expectant mothers have to spread their shoulders and stretch their necks.

Other causes of back pain during pregnancy

Why does lower back hurt during the different trimesters of pregnancy? In addition to the reasons listed above, back pain can be triggered by wearing high-heeled shoes, staying in the wrong posture for a long time while seated work, as well as weakened muscles. In some cases, lower back pain during pregnancy occurs due to various diseases of the musculoskeletal system that developed even before pregnancy.

Osteochondrosis, scoliosis, intervertebral hernia and many other diseases of the spinal column often develop due to uncomfortable working conditions or excessive physical exertion. If the lower back hurts in a pregnant woman, the following factors may be the reasons for this phenomenon:

• The presence of cracks (even minor ones), which appeared as a result of injuries, falls or difficulties that arose during a previous birth.
• An increase in body weight puts a high strain on the back and leads to a curvature of posture.
• In the body of a pregnant woman, an impressive amount of various hormones is produced that affect the relaxation of muscles and ligaments.

Low back pain in early pregnancy can be associated with colds and infections. Those who are unlucky enough to “blow out” the lower back usually complain of unpleasant “pulling” sensations localized in the lower parts of the spinal column and radiating to the stomach. Back pain in early pregnancy may not indicate the presence of any pathology, and be a side effect of adapting the body to an increased load.

Pain causes may vary by trimester

Inflammatory process in the kidneys (pyelonephritis) is often accompanied by pain in the lower back. This disease can be recognized by such signs as: frequent urination, increased blood pressure, headache, edema and fever. Symphysiopathy is a disease that occurs due to excessive relaxation of the pubic articulation. It is accompanied by impaired coordination, while it is usually the lower spine that usually hurts and worries.

If the lower back hurts on the right during pregnancy, and the pain syndrome is aching and pulling in nature, the problem may be not only in pyelonephritis, but also in other kidney diseases. Treatment involves the use of antibacterial drugs, antispasmodics and analgesics prescribed by a competent physician based on the results of biochemical tests and a general examination. Therapy at the 5th week of pregnancy should be selected with special care so as not to harm the actively developing fetus.

What to do if your back hurts in early pregnancy

If the lower back pulls in the early stages of pregnancy or is worried about the pain syndrome localized in the sacrum, you should immediately seek qualified medical help. This sign of pregnancy is a serious danger, since it significantly increases the likelihood of miscarriage and terminated pregnancy.

When pain begins to appear in women after physical exertion and pulls the stomach, you should use the following recommendations:

• take a comfortable recumbent position;
• take one of the sedatives like Valerian or Corvalol
• you may need an anti-spasm agent (No-Shpa).

In the first trimester, hormonal drugs can be prescribed, including Utrozhestan and Duphaston. The dosage and duration of admission must necessarily be calculated by the attending physician. In the third trimester and later in pregnancy, the doctor may prescribe pharmaceuticals aimed at reducing the contractile activity of the uterus.

Pain syndrome, which is characterized by a certain periodicity and is similar to labor pains, usually requires the placement of the expectant mother in a hospital environment, as well as studies such as cardiography and ultrasound, followed by treatment. In the second trimester, the load on the spinal column increases significantly, which causes a shift in the center of gravity and a strong deflection of the lower back.

Important! If aching pains are accompanied by bloody discharge from the vagina, urgent medical attention is needed, since such signs can lead to termination of pregnancy.

How to deal with low back pain

If pain in the lumbar region is associated with an infectious disease, first of all, it is necessary to eliminate the causes of its occurrence. When the cause of pain is osteochondrosis, flat feet or intervertebral hernia, a sharp increase in the load can provoke an aggravation of the condition and difficulty in extending the spine.

Staphylococcus aureus, enterococcus, Pseudomonas aeruginosa and Escherichia coli can lead to inflammation and pain in the back. They are accompanied by an increase in body temperature and a change in the characteristics of urine, which becomes cloudy and different in composition from normal.

Experts recommend that women get up from the couch as smoothly and gently as possible in the position, and also avoid lifting even minor weights

Most often, the lower back hurts in late pregnancy, and the discomfort disappears completely only after childbirth. If severe pain is associated with pathologies of the musculoskeletal system, the doctor may prescribe wearing a special prenatal bandage, which helps to cope with high loads and overcome most of the negative effects of prolonged walking.

If your back hurts or your bones ache, you should reduce the load on the spinal column by adopting the following recommendations:

• use an orthopedic mattress for sleeping;
• wear shoes with low heels and good fixation of the foot;
• sitting on a chair or chair, you need to use the back as a support;
• it is important to avoid high physical activity;
• you should keep your own weight within the normal range.

Swimming is considered one of the most effective remedies for overcoming soreness in the back. Aqua aerobics can also be an excellent effective method to strengthen the lumbar region, however, before exercising, you should consult with your doctor about any contraindications. Hydromassage and exercises with fitball have a good effect.

Thanks to manual therapy, it is possible to correct vertebral displacements and other disorders with virtually no medication. If it shoots in the lower back during pregnancy, you should limit yourself to magnetic resonance imaging, since X-ray examination is contraindicated in all trimesters. In order to relieve pain syndrome, drugs with anti-inflammatory effects, special ointments, tablets and vitamins of groups B, C, D and A are often required.

Women who are forced to engage in sedentary work are advised to use breaks to perform simple sets of physiotherapy exercises. Instead of tilting your torso, for example, to pick up a fallen object from the floor, it is recommended to leave your back in an even position, changing the bend of the legs. The maximum load should fall on the lower limbs.

What to do if lower back hurts during pregnancy? To overcome the pain, analgesics with minimal side effects and other adjuvants are usually prescribed. Among the unconventional treatments, the most common are aromatherapy, homeopathy, reflexology, acupuncture, reflexology and herbal medicine.

How to strengthen the lower back

If the lower back pulls during pregnancy and is worried about the pain syndrome, it is necessary to make the diet as saturated as possible, it must necessarily contain various vitamins and minerals. Particular emphasis should be placed on the following foods:

• nuts;
• fresh fruits, vegetables;
• greens.

Can the lower back hurt with a lack of calcium in the body of the expectant mother? Scientists were able to establish that the deficiency of this element directly affects the occurrence of such problems. Even before pregnancy, it is recommended to drink at least 1-2 glasses of cow's or goat's milk, as well as eat a portion of cottage cheese or natural cheese. To improve the absorption of calcium, it is worth spending time in the fresh air every day.

In case of problems with the lower back, spend less time at the computer, do not cross your legs and, if possible, change your body position every 10-15 minutes

In addition, the following recipes and recommendations are useful for pregnant women:

• The crushed shell of a boiled chicken egg is an excellent source of calcium, the absorption of which is much higher than that of gluconate (its bioavailability is no more than 5%). The shell is calcined in a pan, before that the film is removed from the inner surface.
• Without magnesium, normal calcium metabolism is impossible. Therefore, in the first and second trimester, it is important to consume a sufficient amount of dried apricots, lemons, seaweed, peas, beans, bananas, prunes and dates, which hold the record for magnesium content.

Signs of magnesium deficiency: high blood pressure, irregular heartbeats, and cramps in the lower extremities (mainly in the calves or feet).

Preventive measures include: timely therapy of diseases of the spinal column, protrusion and internal organs. Physical overload, sudden movements, bends and jerks must be avoided. Thanks to an active lifestyle before pregnancy, it is possible to strengthen the muscles of the back and abdomen, thus preventing pain in the lumbar region. High-heeled shoes are strongly recommended to be discarded.